Shock wave therapy may be effective for nonunions of the metaphyseal-diaphyseal region of fifth metatarsal
from Ortho SuperSite
Recent research has shown that intramedullary screw fixation and shock wave therapy are effective treatments for nonunions of the metaphyseal-diaphyseal region of the fifth metatarsal. However, screw fixation more commonly produces complications that often require additional surgery. "The current 'gold standard' for treatment of chronic fracture nonunion in the metaphyseal-diaphyseal region of the fifth metatarsal is intramedullary screw fixation," John P. Furia, MD, and colleagues wrote in their abstract.
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